Three-part question

Clinical scenario

A 65-year-old male, with past medical history of pulmonary TB, attends the Emergency Department with shortness of breath and central chest pain for 7 days. Physical examination reveals raised JVP and chest x-ray shows a globular-shaped heart. You wonder whether pericardial fluid ADA level would assist in the diagnosis of tuberculous pericardial effusion.

Search strategy

Medline, 1950–October 2009, using the Ovid interface.

(exp Adenosine Deaminase/OR (adenosine deaminase or ADA).mp) AND (exp Tuberculosis, Cardiovascular/ OR ((exp Tuberculosis/ OR (TB or tubercul$).mp) AND (exp Pericarditis/OR pericardi$.mp))) LIMIT to human and English language.

Search outcome

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